Patient Access Representative II

Work Location: Citizens Medical Center

Schedule

2pm-10:30pm with every other weekend rotation

Responsibilities

• Greeting patients following Conifer Standards of Care, providing world-class customer service, completing full patient registration at date of service, adhering to financial & cash control policies & procedures.
• Thoroughly explaining and securing Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.).
• Scanning Protected Health Information, creating and filing patient information packets/folders for upcoming Hospital services.
• Assisting with scheduling diagnostic procedures (entering data in scheduling system, providing customer with appointment instructions, other tasks as needed).
• Educating patients about patient financial liabilities, employing proper, compliant patient liability collection techniques before, during & after date of service.
• Performing Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
• Securing medical necessity checks/verification in accordance with Centers for Medicare & Medicaid services.
• Verifying insurance, benefits, coverage & eligibility, completing assigned registration financial clearance work lists activities.
• Obtaining insurance authorizations for scheduled & unscheduled Hospital services, and securing inpatient visit notification to payors.
• Assisting with scheduling and coordinating post discharge care for patients.
• Performing essential job duties in at least two Patient Access service areas including Emergency Department.
• Using proper negotiation techniques to professionally collect money owed by patients/guarantors.
• Building and maintaining collaborative relationships with both internal and external clients to enhance communication, productivity, and accuracy.
• Appropriately interpreting physician orders, medical terminology, and insurance cards while maintaining Conifer Standards of Care.

Requirements

• Minimum typing skills of 35 wpm.
• Demonstrated working knowledge of PC/CRT/printer.
• Knowledge of function and relationships within a hospital environment preferred.
• Customer service skills and experience.
• Ability to work in a fast-paced environment.
• Ability to receive and express detailed information through oral and written communications.
• Understanding of Third Party Payor requirements preferred.
• Understanding of Compliance standards preferred.
• Must be able to perform essential job duties in at least two Patient Access service areas including Emergency Department.

Qualifications

• High School Diploma or GED required.
• 0 – 1 year in a Customer Service role.
• 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred.
• Some college coursework is preferred.

Physical Demands

• Must be able to sit at a computer terminal for extended periods of time.
• Resolves Physician's office and Patient issues.
• May experience extreme patient volumes and uncooperative patients.
• Occasionally lift/carry items weighing up to 25 lbs.
• Frequent prolonged standing, sitting, and walking.
• Occasionally push a wheelchair to assist patients with mobility problems.

Work Environment

• Hospital administration.
• Can work in patient care locations which include potential exposure to life-threatening patient conditions.
• Must be available to work hours and days as needed based on departmental/system demands.

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.